M1269 Rec'd esrd mcp lst day of mo
Also known as: ESRD care receipt, dialysis patient, renal replacement therapy
Patient received end-stage renal disease (ESRD) care on the last day of the measurement period. Documents ESRD patients with documented dialysis or transplant status during the measurement month.
In Plain Language
kidney failure treatment; dialysis care
Clinical Context
Used in ESRD quality reporting to document that appropriate dialysis or transplant care was delivered to patients with kidney failure during the measurement period.
RVU Information
CPT M1269 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
M-codes cover quality measures and performance reporting. They are used in value-based care programs to track whether specific clinical actions were taken. Documentation must support that the measured action was performed or a valid exclusion applies.
Specialties
Frequently Asked Questions
What is CPT code M1269?
CPT M1269 (Rec'd esrd mcp lst day of mo) is a M Codes code. Patient received end-stage renal disease (ESRD) care on the last day of the measurement period. Documents ESRD patients with documented dialysis or transplant status during the measurement month.
Is M1269 covered by insurance?
M1269 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used in ESRD quality reporting to document that appropriate dialysis or transplant care was delivered to patients with kidney failure during the measurement period.
When is CPT M1269 used?
Used in ESRD quality reporting to document that appropriate dialysis or transplant care was delivered to patients with kidney failure during the measurement period.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.